Individual provider · Type 1 NPI
Richard Everett McCoy, D. C.
Chiropractor · Crystal Lake, IL
NPI number
1376536060
Active · reactivated Apr 10, 2006
Practice location
181 N Virginia St, Suite 1
Crystal Lake, IL 60014-3433
Fax (815) 455-6375
Mailing address
6306 Suttondale Rd
Huntley, IL 60142-9597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038-004127 (IL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1376536060
Richard Everett McCoy, D. C.'s National Provider Identifier is 1376536060, issued on Aug 26, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Crystal Lake, IL. The record was last updated on Sep 11, 2017.